The United States is entering a reproductive and economic crisis with profound and long-lasting effects, not only on public health but on higher education, labor markets, and the basic social contract. With proposed Medicaid cuts threatening to remove 11 to 14 million people from coverage, the defunding of Planned Parenthood already underway in multiple states, abortion outlawed or criminalized in much of the country, and Pell Grants—long the financial lifeline for working-class students—now on the chopping block, the consequences for vulnerable Americans are becoming existential.
Medicaid currently funds 43 percent of all births in the United States, serving as a critical support system for low-income families and especially for women of reproductive age. Cutting this program will mean millions of people, including many students, will lose access to contraception, prenatal care, or safe childbirth. The simultaneous defunding of Planned Parenthood eliminates one of the few affordable sources of reproductive healthcare for millions more, including STI testing and abortion referrals. In states where abortion is now illegal or nearly impossible to access, people without resources are being forced into parenthood—regardless of age, circumstance, health risks, or consent.
The result is not a resurgence of “family values” but a public health disaster. Maternal and infant mortality will rise, especially among Black, Indigenous, and Latina women who already face disproportionate risk. Rural and underfunded hospitals will be pushed to the brink, taking on a wave of uncompensated labor and delivery cases they cannot afford. Many of these same states reject Medicaid expansion and other social supports, leaving poor women and their children with no safety net at all.
And now, the same lawmakers pushing forced birth are demanding cuts to federal student aid. Pell Grants, the cornerstone of college affordability for low-income students, are under threat of restructuring and reduction—some proposals aim to tie eligibility to higher credit loads or academic benchmarks that working students with family responsibilities often cannot meet. Forcing students to take 15 credits a semester to qualify for full funding, while stripping away healthcare, reproductive autonomy, and economic security, creates an impossible trap. The cruelty is calculated.
The consequences for college students—especially women, people of color, and those from working-class backgrounds—will be devastating. A student who becomes pregnant without access to abortion and Medicaid may be forced to carry the pregnancy to term without adequate medical care. Without affordable childcare or family support, many will be unable to complete their degrees. Financially, these students face lifelong setbacks: medical debt, increased student loans, and diminished earning potential.
Planned Parenthood has long been a crucial resource for college students seeking contraception, health screenings, or reproductive counseling. Mental health will suffer across campuses, with increased trauma, anxiety, and depression tied to forced pregnancy, criminalization, and economic desperation. College counseling centers are not equipped to manage this crisis.
Criminalization of abortion and related care also threatens student safety and autonomy. Students could face surveillance, arrest, or disciplinary action for seeking abortion pills, traveling out of state for care, or even sharing information. Faculty and staff may be legally targeted for offering assistance or referrals. The chilling effect on campuses will be immediate and severe, undermining both student health and academic freedom.
Meanwhile, slashing Pell Grants will make college completely unaffordable for thousands. Many will be forced to take out higher-interest loans—or drop out altogether. These financial constraints will disproportionately affect students at community colleges and regional public universities, the very institutions most likely to serve student parents and low-income learners. With every cut to Pell, with every denial of childcare, with every forced birth, the ladder of social mobility collapses further.
This is not just a reproductive rights issue or an education issue. It is a deliberate strategy of control and abandonment. The same communities being forced into parenthood are being stripped of the tools to escape poverty—higher education, healthcare, and bodily autonomy. This is economic warfare dressed in moral righteousness. And it is reshaping the future of who gets to survive, succeed, or dream in America.
Colleges and universities cannot remain silent. Faculty, administrators, and student organizations must speak out against the coordinated assault on reproductive freedom and educational access. Campus activism is already rising, but it is likely to be met with increased repression—funding cuts, surveillance, and political intimidation. Institutions that claim to support equity, justice, and student success must match words with action.
This moment demands more than statements and symbolic gestures. It requires direct resistance and solidarity. It requires fighting for healthcare as a human right, for fully funded Pell Grants and student supports, and for the fundamental freedom to make decisions about one’s own body and future.
In this looming dystopia—where reproductive autonomy is criminalized, education is devalued, and poverty is legislated—the very notion of a democratic and just society is at risk. If higher education is to mean anything at all, it must stand against this assault. Otherwise, it becomes just another engine in the machinery of inequality and control.
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